About the Role We are seeking a detail-oriented and experienced Process Specialist to join our Life Insurance Claims Operations team, supporting a Corporate-Owned Life Insurance (COLI) client. This ...
About the Role We are seeking a detail-oriented and experienced Process Specialist to join our Life Insurance Claims Operations team, supporting a Corporate-Owned Life Insurance (COLI) client. This ...
Insurance Claims terminology * Proficient with Claims processing guidelines, working knowledge of claims settlement and insurance claims practices * Ability to organize, prioritize and communicate ...
Insurance Claims terminology * Proficient with Claims processing guidelines, working knowledge of claims settlement and insurance claims practices * Ability to organize, prioritize and communicate ...
Insurance Claims terminology * Proficient with Claims processing guidelines, working knowledge of claims settlement and insurance claims practices * Ability to organize, prioritize and communicate ...
Insurance Claims terminology * Proficient with Claims processing guidelines, working knowledge of claims settlement and insurance claims practices * Ability to organize, prioritize and communicate ...
Insurance Coordinator
Dalton, GA · On-site
This role is ideal for someone with strong knowledge of dental insurance, claims processing, and accounts receivable who is passionate about delivering exceptional patient service and supporting ...
Insurance Coordinator
Dalton, GA · On-site
This role is ideal for someone with strong knowledge of dental insurance, claims processing, and accounts receivable who is passionate about delivering exceptional patient service and supporting ...
Insurance Coordinator
Dalton, GA · On-site
This role is ideal for someone with strong knowledge of dental insurance, claims processing, and accounts receivable who is passionate about delivering exceptional patient service and supporting ...
Insurance Coordinator
Dalton, GA · On-site
This role is ideal for someone with strong knowledge of dental insurance, claims processing, and accounts receivable who is passionate about delivering exceptional patient service and supporting ...
Insurance Coordinator
Dalton, GA · On-site
This role is ideal for someone with strong knowledge of dental insurance, claims processing, and accounts receivable who is passionate about delivering exceptional patient service and supporting ...
Insurance Coordinator
Dalton, GA · On-site
This role is ideal for someone with strong knowledge of dental insurance, claims processing, and accounts receivable who is passionate about delivering exceptional patient service and supporting ...
Insurance Coordinator
Dalton, GA · On-site
This role is ideal for someone with strong knowledge of dental insurance, claims processing, and accounts receivable who is passionate about delivering exceptional patient service and supporting ...
Insurance Coordinator
Dalton, GA · On-site
This role is ideal for someone with strong knowledge of dental insurance, claims processing, and accounts receivable who is passionate about delivering exceptional patient service and supporting ...
Insurance Coordinator
Dalton, GA · On-site
This role is ideal for someone with strong knowledge of dental insurance, claims processing, and accounts receivable who is passionate about delivering exceptional patient service and supporting ...
Insurance Coordinator
Dalton, GA · On-site
This role is ideal for someone with strong knowledge of dental insurance, claims processing, and accounts receivable who is passionate about delivering exceptional patient service and supporting ...
Medical Insurance Specialist
Augusta, GA · On-site
$15 - $18/hr
Proven experience in medical insurance billing and claims processing. Preferred Qualifications: * Medical Billing/Coding Experience Required. * 1-2 years experience in medical office environment,
Quick apply
Medical Insurance Specialist
Augusta, GA · On-site
$15 - $18/hr
Proven experience in medical insurance billing and claims processing. Preferred Qualifications: * Medical Billing/Coding Experience Required. * 1-2 years experience in medical office environment,
Process Specialist (Claims Processor)
Atlanta, GA · Hybrid
$16.25 - $20.75/hr
Apply working knowledge of state and federal insurance regulations, internal controls, and privacy standards throughout all claims processing activities. * Maintain accurate and audit-ready case ...
Process Specialist (Claims Processor)
Atlanta, GA · Hybrid
$16.25 - $20.75/hr
Apply working knowledge of state and federal insurance regulations, internal controls, and privacy standards throughout all claims processing activities. * Maintain accurate and audit-ready case ...
Claims Assistant (Full-Time) ( Hybrid in NJ,GA,IL, or NYC )
Rex, GA · Hybrid
$70K - $75K/yr
Ability to learn insurance regulations, coverage concepts, and claims processes. * Having a passion for wanting to learn Financial Lines and continue their career in Claims with an awesome team and ...
New
Claims Assistant (Full-Time) ( Hybrid in NJ,GA,IL, or NYC )
Rex, GA · Hybrid
$70K - $75K/yr
Ability to learn insurance regulations, coverage concepts, and claims processes. * Having a passion for wanting to learn Financial Lines and continue their career in Claims with an awesome team and ...
New
Process Specialist
Atlanta, GA · Hybrid
Apply working knowledge of state and federal insurance regulations, internal controls, and privacy standards throughout all claims processing activities. * Maintain accurate and audit-ready case ...
Process Specialist
Atlanta, GA · Hybrid
Apply working knowledge of state and federal insurance regulations, internal controls, and privacy standards throughout all claims processing activities. * Maintain accurate and audit-ready case ...
Process Specialist
Atlanta, GA · On-site
Apply working knowledge of state and federal insurance regulations, internal controls, and privacy standards throughout all claims processing activities. * Maintain accurate and audit-ready case ...
Process Specialist
Atlanta, GA · On-site
Apply working knowledge of state and federal insurance regulations, internal controls, and privacy standards throughout all claims processing activities. * Maintain accurate and audit-ready case ...
Through a robust stakeholder feedback loop and supported by consistent processes and leadership, we ... Ability to interface with the insured and other stakeholders concerning claims related matters.
Through a robust stakeholder feedback loop and supported by consistent processes and leadership, we ... Ability to interface with the insured and other stakeholders concerning claims related matters.
Claims Technician
Peachtree City, GA · Hybrid
$24 - $35.75/hr
... Insurance Claims Processing, Intentional collaboration, Managing performance, Microsoft ... Applications, Prioritization, Problem Solving, Risk Assessments, Time Management How to Apply: To ...
Claims Technician
Peachtree City, GA · Hybrid
$24 - $35.75/hr
... Insurance Claims Processing, Intentional collaboration, Managing performance, Microsoft ... Applications, Prioritization, Problem Solving, Risk Assessments, Time Management How to Apply: To ...
As an Internal Coverage Counsel - Claims, you will join a high-impact, in-house legal role where ... Ability to understand Central Insurance's policies and processes Total Rewards Central establishes ...
As an Internal Coverage Counsel - Claims, you will join a high-impact, in-house legal role where ... Ability to understand Central Insurance's policies and processes Total Rewards Central establishes ...
Claims Consultant
Stone Mountain, GA · On-site
$48K - $55K/yr
Approval or denial on FMLA claims as per Insurance carrier, and employers guidelines Analyzes ... Reviews client critical deliverables, manages the overall workload, and second-level process ...
Claims Consultant
Stone Mountain, GA · On-site
$48K - $55K/yr
Approval or denial on FMLA claims as per Insurance carrier, and employers guidelines Analyzes ... Reviews client critical deliverables, manages the overall workload, and second-level process ...
Billing and Claims Specialist
Albany, GA · On-site
The Billing and Claims Specialist plays a critical role in ensuring the accurate and timely processing of patient billing and insurance claims within the healthcare industry. This position is ...
Quick apply
Billing and Claims Specialist
Albany, GA · On-site
The Billing and Claims Specialist plays a critical role in ensuring the accurate and timely processing of patient billing and insurance claims within the healthcare industry. This position is ...
Restoration Collections & Claims Associate
Bogart, GA · On-site
$18 - $25/hr
Qualifications • High School Diploma required • 2+ years of experience in collections, accounts receivable, or insurance claims processing preferred • Experience working with insurance ...
New
Quick apply
Restoration Collections & Claims Associate
Bogart, GA · On-site
$18 - $25/hr
Qualifications • High School Diploma required • 2+ years of experience in collections, accounts receivable, or insurance claims processing preferred • Experience working with insurance ...
New
Associate claims
Alpharetta, GA · On-site
$17.25 - $23.50/hr
Associate - Claims As an Associate - Claims, you will be responsible for handling, processing, and reviewing insurance claims in an accurate and timely manner. The role requires attention to detail ...
Associate claims
Alpharetta, GA · On-site
$17.25 - $23.50/hr
Associate - Claims As an Associate - Claims, you will be responsible for handling, processing, and reviewing insurance claims in an accurate and timely manner. The role requires attention to detail ...
Insurance Claims Processing information
What is insurance claims processing?
What jobs pay $2000 a day?
How do I become a claims processor?
What are some common challenges faced in insurance claims processing, and how can new team members effectively manage them?
Is a claims processor job in demand?
What is the difference between Insurance Claims Processing vs Insurance Adjuster?
| Aspect | Insurance Claims Processing | Insurance Adjuster |
|---|---|---|
| Credentials | Typically requires a high school diploma or equivalent; certifications like CPCU or AIC are common | Requires a high school diploma; certifications like AIC or state licensing often needed |
| Work Environment | Office-based, processing claims via computer systems | Field and office work, inspecting damages and interviewing claimants |
| Employer & Industry Usage | Insurance companies, third-party administrators | Insurance companies, independent adjusting firms |
| Primary Focus | Reviewing and processing insurance claims efficiently | Assessing damages and determining claim validity and payout |
While both roles are essential in the insurance industry, Insurance Claims Processing focuses on handling and managing claims paperwork, whereas Insurance Adjusters evaluate damages and determine claim settlements. Understanding these differences helps job seekers identify the right career path within the insurance sector.
What are the key skills and qualifications needed to thrive in Insurance Claims Processing, and why are they important?

Other
Posted 13 days ago
Job description
About the Role
We are seeking a detail-oriented and experienced Process Specialist to join our Life Insurance Claims Operations team, supporting a Corporate-Owned Life Insurance (COLI) client. This role sits at the intersection of operational excellence and insurance domain expertise, and is ideal for a professional who thrives in a high-volume, compliance-driven environment.
The successful candidate will bring 3–5 years of hands-on experience in life insurance claims processing, with demonstrated ability to manage complex transactions, resolve exceptions, and maintain quality standards across end-to-end workflows. Prior exposure to COLI claims is a strong differentiator.
Key Responsibilities
- Perform detailed review and validation of life insurance claims documentation, policy forms, and supporting evidence to ensure completeness, accuracy, and regulatory compliance.
- Process high-volume, detail-sensitive claims transactions across policy administration systems and workflow tools; research, validate, and resolve discrepancies efficiently.
- Identify and resolve NIGO (Not In Good Order) items, suspense cases, and pending exceptions while minimizing cycle times and rework.
- Apply working knowledge of state and federal insurance regulations, internal controls, and privacy standards throughout all claims processing activities.
- Maintain accurate and audit-ready case notes, documentation, and activity logs to support compliance reviews and client inquiries.
- Identify trends in errors or exceptions and escalate findings to leadership to drive continuous process improvement.
- Support UAT, post-release validation, and pilot initiatives for system or process enhancements.
- Assist with onboarding and knowledge transfer for new team members as needed.
- Provide back-up coverage across related operational functions and client accounts during peak volume periods.
Required Qualifications
- 3–5 years of experience in life insurance claims processing operations, with strong command of the end-to-end claims lifecycle.
- In-depth knowledge of life insurance products including policy lifecycle events: new business, policy changes, disbursements, claims, and regulatory requirements.
- Proficiency in navigating policy administration systems and workflow platforms in a production environment.
- Solid understanding of applicable state and federal insurance regulations, compliance checkpoints, and documentation standards.
- Strong analytical and problem-solving ability; capable of identifying root causes, resolving exceptions, and escalating appropriately.
- High attention to detail and accuracy with a track record of error-free processing in a regulated environment.
- Effective communicator with the ability to collaborate across functions including Compliance, Financial Services, and Contact Center teams.